Organization
DAVID A LONG MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A LONG MD (PRESIDENT)
(727) 381-7727
Entity
Organization
Contact information
Practice address
1615 PASADENA AVE S, 250, SOUTH PASADENA, FL 33707-4516
(727) 381-7727
(727) 381-8229
Mailing address
1615 PASADENA AVE S, 250, SOUTH PASADENA, FL 33707-4516
(727) 381-7727
(727) 381-8229
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME44760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044825700
—
FL
Enumeration date
05/13/2010
Last updated
06/15/2011
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